Ptacek J T, Pierce Gregory R, Ptacek John J
Department of Psychology, Bucknell University, Lewisburg, PA 17837, USA.
J Psychosoc Oncol. 2007;25(2):37-58. doi: 10.1300/J077v25n02_03.
We examined the links between coping and psychological outcomes in 53 patients who had undergone radiotherapy for cancer. Patients completed a coping survey and a measure of perceived support during a six-week course of radiation therapy and reported about their mental health and marital satisfaction one month following treatment. The prospective associations between coping and psychological distress and martial satisfaction depended upon the supportive context in which patients were coping. Seeking emotional support and using positive reappraisal were more effective (i.e., were significantly and positively correlated with marital satisfaction) for people low in spousal support than for people high in such support. Although men and women reported coping similarly with the cancer and had similar levels of adjustment, the association between coping and outcomes differed by gender; the associations for women were significantly stronger than they were for men. Results thus suggest that both individual and environmental characteristics moderate the associations between coping and outcomes in cancer survivors.
我们研究了53名接受癌症放疗患者的应对方式与心理结果之间的联系。患者在为期六周的放射治疗过程中完成了一项应对方式调查和一项感知支持测量，并在治疗后一个月报告了他们的心理健康状况和婚姻满意度。应对方式与心理困扰及婚姻满意度之间的前瞻性关联取决于患者应对时所处的支持环境。对于配偶支持较少的人来说，寻求情感支持和采用积极的重新评价方式更有效（即与婚姻满意度呈显著正相关），而对于配偶支持较多的人则不然。尽管男性和女性报告的应对癌症方式相似，且调整水平也相似，但应对方式与结果之间的关联因性别而异；女性的关联明显强于男性。因此，结果表明个体和环境特征均会调节癌症幸存者应对方式与结果之间的关联。
